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Individual

DR. CLYDE GLENN BARRETT JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
272 BENEDICT AVE, NORWALK, OH 44857-2374
(419) 668-8101
Mailing address
2114 STATE ROUTE 113 E, MILAN, OH 44846-9483
(419) 499-4500
(419) 499-1219

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34-008717
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2738050
OH
Enumeration date
06/18/2007
Last updated
02/06/2008
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